KEANNA ALEXA JACKSON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006735

License Status

EXPIRED

Business

First Name

KEANNA

Middle

ALEXA

Last Name

JACKSON

Business Name

KEANNA ALEXA JACKSON

Original Issue Date

06/16/2022

Effective Date

06/16/2022

Expiration Date

12/16/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2025